Organization
KEVIN MAINZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MAINZ (SOLE MEMBER)
(972) 645-2436
Entity
Organization
Contact information
Practice address
1401 SEMINOLE DR, RICHARDSON, TX 75080-3738
(972) 345-2436
Mailing address
1401 SEMINOLE DR, RICHARDSON, TX 75080-3738
(972) 345-2436
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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